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Pavilion Health Center At Brightmore

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About Pavilion Health Center At Brightmore

General Information

Legal Business NameLiberty Healthcare Group LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 20, 2014 (3 years)
Capacity120
Residents81
Percent Occupied68%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pavilion Health Center At Brightmore

Pavilion Health Center At Brightmore
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 17, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.

May 20, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

December 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pavilion Health Center At Brightmore require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 20min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
30min
1hr 10min
ReportedExpected
RN
3hr 50min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.3%
77.4%
77.4%
77.4%
93.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
92.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
66.7%
57.1%
-
55.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
21.4%
27.3%
26.2%
15.8%
30.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.2%
14.5%
14.6%
11.0%
23.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose ability to move independently worsened
18.2%
14.6%
17.4%
20.0%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antipsychotic medication
28.6%
36.4%
16.7%
7.9%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose need for help with daily activities has increased
10.6%
10.9%
6.2%
0.0%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who self-report moderate to severe pain
9.4%
23.4%
21.7%
18.6%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who lose too much weight
15.0%
11.4%
15.6%
24.0%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of high risk long-stay residents with pressure ulcers
3.1%
0.0%
0.0%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who have depressive symptoms
3.1%
0.0%
0.0%
0.0%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a urinary tract infection
9.1%
6.2%
6.5%
6.7%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents experiencing one or more falls with major injury
3.2%
5.1%
3.2%
5.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

92.8%
96.7%
98.5%
98.9%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
96.0%
96.0%
96.0%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
64.8%
61.7%
63.8%
75.0%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who made improvements in function
15.6%
16.0%
22.6%
16.5%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who self-report moderate to severe pain
0.9%
0.4%
1.0%
1.4%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who newly received an antipsychotic medication
0.6%
0.6%
1.4%
0.9%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents with pressure ulcers that are new or worsened